Active NPI
Russell E Coash, PA-C
- Medical Physician Assistant
- Geneva, NE
National Provider Identifier
1154371045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1104
- Practice address
- 1840 F St
Geneva, NE 68361-2211 - Phone
- (402) 759-4485
- Fax
- (402) 759-4487
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Geneva, NE
- NPI 1508956467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fillmore County Medical Center PC
Practice addresses (Care Compare)
1840 F St
Geneva, NE 68361-2211
1840 F St PO Box
Suite 268
Geneva, NE 68361-2211
Hospital & facility affiliations
- Fillmore County Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040401001470 | NE | Practitioner - Physician Assistant | 9032101670 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fillmore County Hospital | Past | Accepting new patients |
Interoperability endpoints
- russell.coash.1@26385.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1104 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1840 F St
Geneva, NE 68361-2211
Mailing address
PO Box 268
Geneva, NE 68361-0268
Phone (402) 759-4485
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207Q00000X | Medicaid | NE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2012.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1154371045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268",
"city": "GENEVA",
"state": "NE",
"postal_code": "683610268",
"telephone_number": "402-759-4485",
"fax_number": "402-759-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 F ST",
"city": "GENEVA",
"state": "NE",
"postal_code": "683612211",
"telephone_number": "402-759-4485",
"fax_number": "402-759-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COASH",
"first_name": "RUSSELL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207Q00000X",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.